Can serum detect ectopic pregnancy?

Patient's question:

After 15 days of missed period, lower abdomen occasionally aches, chest has for more than half a month, with brown discharge in the middle, small amount without blood. The hospital conducted a thorough examination of the serum and found no pregnancy. I want to ask if there is a possibility of ectopic pregnancy?

Doctor's answer:

HCG tests using blood are generally not easy to determine if it is an ectopic pregnancy. Of course, if it is an ectopic pregnancy, there will be certain manifestations in HCG, but it cannot be conclusively determined. The gold standard for ectopic pregnancy is to check through ultrasound to see if the pregnancy is in the fallopian tube. It is recommended to closely monitor the situation. Once symptoms of abdominal pain or vaginal bleeding appear, seek medical attention promptly and inform the attending doctor that it may be an ectopic pregnancy.

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